Sitar Am

Risk Assumption Letter

Dear Sir / Madam, We thank you for placing this Insurance business with us. Please find attached herewith Policy No.:4030/2877928/00/000, which has been issued based on the details furnished to us by insured: 1. Name of the Insured 2. Mailing Address

: Mr. SITARAM JADHAV : SKF INDIA LTD, CHINCHWAD, PUNE , MAHARASHTRA

3. Telephone No. 4. Mobile No. 5. E-mail Id 6. Date of Birth 7. Passport No. 8. Nominee Name 9. Visa Type 10. Period of Insurance / Trip Particulars 11. Geographical Scope 12. Plan Type 13. Pre-existing Diseases 14. Medical Treatment History 15. Family Doctor’s Details

: - -66122194 : NA : : 12-Apr-1973 : B2175314 : SUJATA : Immigrant : From: 25-Nov-2009 To: 20-Dec-2009 Days: 26 : EXCLUSCANADA : GOLD X100 : NA : NA : NA

Please go through the details as furnished in the format and also as provided in the policy document and confirm that they are in order. Should you feel that there are any discrepancies/variations, you are requested to write back to us immediately at [email protected] for necessary changes/rectification. In the absence of any communication from you with in 15 days or before the risk inception date of the policy in this connection, we would take it that you have accepted the contents and the coverage to be confirming to your proposal. It brings us pleasure in announcing that our operations function has been ISO 9001:2000 certified with effect from 7th September 2004. The certifying agency was Det Norske Veritas (DNV). This would mean that we would meet the service related promises that we make to our customers.